RN Utilization Management Specialist
Direct Jobs
Penn State Health is seeking a full-time Registered Nurse for the Hershey Medical Center to review clinical documentation and ensure compliance with accepted standards. The role requires a Bachelor's or Master's degree in Nursing and relevant clinical experience. Join a team dedicated to providing innovative and specialized care. Enjoy a comprehensive benefits package, including wellness programs and generous paid time off. Become part of a recognized healthcare leader in patient care. #J-18808-Ljbffr
- ...maintaining compliance with the CMS Conditions of Participation for Utilization Management. MINIMUM QUALIFICATION(S) Bachelor's Degree in Nursing or... ...Nurse by the state of employment or holds a multistate RN license through the Interstate Nurse Licensure Compact Demonstrated...SuggestedFull timeContract workShift work
$10 per hour
.... (Weekends) Hours: Evening/Night Rotation Recruiter Contact: Kathryn Rush at ****@*****.*** SUMMARY OF POSITION The RN inpatient Nurse assesses patient health problems and needs, develops and implements nursing care plans, and maintains medical records...SuggestedFull timeContract workRelocation packageShift workNight shiftWeekend workAfternoon shift- ...Plant Leadership through Safety Incident Management, Safety Management System, Audits,... ...Safety Manager, coach/develop the Safety Specialists and lead safety committee teams. Develop... ...Support Drive continuous improvement through utilization of Safety program elements such as Take...SuggestedWork experience placementLocal areaFlexible hoursNight shift
$23 per hour
...A leading workforce management provider is seeking a Microbiologist for a temporary, onsite position in Hershey, PA. Responsibilities include preparing microbiological media for food testing, conducting analyses of food ingredients, and maintaining sample records. Required...SuggestedContract workTemporary workWork experience placement- ...MVR Specialist Headquartered in New Jersey (U.S), Cygnus Professionals Inc. is a next... ...and Consulting company powered by strong management and leadership team with over 30 person... ...management reports and analytics on utilization, performance, availability and storage...SuggestedWork at officeImmediate startMonday to Friday
$71.1k - $97.8k
...Become a part of our caring community The Utilization Management Registered Nurse uses clinical nursing skills to interpret and support the coordination... ...Qualifications: Must hold Compact Registered Nurse (RN) license in your state of residence Greater than one year...Bi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workHome office- ...Job Description The Specialist, Delivery Lead is responsible for the efficient delivery... ...for performance reviews 2. Assist management with vehicle safety and building security... ...for operational improvements utilizing LEAN practices 5. Ensure the proper completion...Work at officeImmediate start
- Milton Hershey School, a cost-free pre-K through 12th grade residential school, is seeking a Youth Development Specialist in the Education, Training & E-Learning department. This role supports students’ academic, social, and emotional growth through mentoring, small-group...Full time
- ...eTMF Specialist / Clinical Trial Management Associate Anywhere Type: Contract Category: Clinical Ops Industry: Life Sciences Workplace... ...practices. Please be advised that Eliassen Group utilizes artificial intelligence (AI) tools as part of its initial...Hourly payContract workLocal areaRemote work
$65k - $85k
...POSITION – JOB DESCRIPTION : REMOTE Allied Public Risk, a Managing General Underwriter (MGU) specializing in public entity... ...insurance, is seeking a highly analytical Operational Programming Specialist to support and enhance our operational infrastructure. This...Remote job- ...Order Management Specialist This is a hybrid role that can be based in either Harrisburg, PA or Clearwater, FL. Please note, candidates must be located within 60 miles of either office location. D&H is growing! Join 100+ year old Employee-Owned technology distributor...Work at officeWork from home
- ...The ITIL Specialist, Mid leads the design, implementation, and continual refinement of ITIL-aligned service management processes to strengthen the stability, consistency, and performance of IT services. This role assesses current incident, problem, change, request, and...Contract workWork at office
- ...Summary Manages responsibilities of Hershey’s Ingredient and Packaging Supplier Quality program for Global and North America suppliers... ...preferred. Minimum of 2 years as a Quality Assurance Specialist and/or food industry quality assurance experience or equivalent...Local areaWeekend work
- ...A leading healthcare institution in Hershey, PA, is seeking an allied professional to support Electrophysiologists and manage appointments for patients with cardiac rhythm disturbances. Candidates should be graduates of relevant programs with BLS and ACLS certifications...Full time
- ...Sr Specialist Engineering Posted Date: May 27, 2026 Requisition Number:... ...relevanthandsonexperience in manufacturing, maintenance, utilities, or capital project execution roles... ...role ~ Nodirectpeople management or project management responsibility...For contractorsLocal areaRemote workShift work
- ...and program integrity through compliance management. Here, you’ll champion the needs of... ...Active, unrestricted Registered Nurse (RN) license Strong clinical background... ...electronic medical records Experience in utilization review, case management, quality...Remote jobFull timeTemporary workWork at officeWork from home
$125k - $135k
...RN Executive Director Specialist – Hospice Expand Access. Lead Markets. Transform Care. We are seeking a RN Executive Director Specialist –... ...support hospice care teams to meet patient-centered goals Manage operational budgets with full P&L responsibility...Full timeTemporary work- ...Specialist Operations Mfg Alliances Posted Date: May 2, 2026 Requisition Number: 128349 Job Location: Hershey... ...and working capital, DDD's, and minimizing costs by eectively managing inventories and production output. The Operations Specialist...Local areaRelocationFlexible hours
- ...THE POSITION Step into a key leadership role. The Fiscal Management Specialist 4 role with the Pennsylvania Department of Aging (PDA) offers a chance to guide important financial decisions that support older adults across the Commonwealth. This position provides a platform...Full timeContract workPart timeWork experience placementWork at officeLocal areaRemote workWork from homeMonday to FridayFlexible hours
- ...Workstation Specialist Headquartered in New Jersey (U.S), Cygnus Professionals Inc. is a next generation global information technology Solution and Consulting company powered by strong management and leadership team with over 30 person years of experience. Today, Cygnus...Contract workLocal areaImmediate startRemote work
$80k - $100k
...cutting-edge solutions. Work as a member of the Vulnerability Management Team , responsible for performing all aspects of System... ...Vulnerability Management and Patching. The Vulnerability Management Specialist position is responsible for planning and execution of...Hourly payContract workWork at officeLocal areaRemote work$65.4k - $87.52k
...The Patch Management Specialist, Junior supports the patch management lifecycle for desktops, laptops, and remote endpoints to maintain secure, stable, and compliant enterprise environments. The role assists with identifying required operating system and application patches...Contract workWork at officeRemote work- ...Hershey Outpatient Surgery Center (HOSC) is seeking a PRN Pre/Post Op RN to join our Perianesthesia Team. We are looking for an... ...center that includes orthopedics, urology, ophthalmology, GYN, pain management, ENT, and plastics. Our patient population includes pediatric and...Full timeReliefMonday to FridayNight shiftDay shift
$73k - $75k
...Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance RN Utilization Review PRIMARY PURPOSE: To provide timely, evidence-based utilization review services to maximize quality care and cost-...Work at officeFlexible hours$10k
...a team-based environment, our home health registered nurse case managers lead and collaborate to provide management and delivery of patient... ...and your family We are looking for compassionate nurses with: RN license in the state you work Graduate from an approved school of...Full timeFlexible hoursDay shift$40 per hour
...GHR has a wonderful, fully remote RN Care Management Coordinator opportunity for a Registered Nurse in PA, DE or NJ! **Prior insurance or hospital utilization review experience required.** ** Candidates MUST live in PA, DE, or NJ and must have multistate...Weekly payDaily paidPermanent employmentFull timeContract workTemporary workLive inRemote workMonday to FridayFlexible hours$19.82 per hour
...Behavior Guidance Specialist Capital Area Head Start is seeking full time Behavior Guidance Specialists to join our mission in providing... ...other highly related experience Demonstrated expertise in managing challenging behaviors; Knowledge of social and emotional...Hourly payFull timeSummer workLocal area- ...data collaboration platform is seeking an organized and detail-oriented individual to join their team in Hershey, PA, focused on managing patient health information requests. The ideal candidate will have a High School Diploma or GED, with strong communication and data...Full time
- ...schedule development, maintenance, monitoring activities, cost engineering analysis and control activities. Identifies cost trends for management, ensures work is completed as scheduled and develops estimates using various sources. Job Duties/Tasks/Responsibilities...Contract workFor subcontractorWork at office
$19.77 per hour
...health and resilience and enhance biodiversity. Supporting research and management at Palmyra is a rewarding challenge for the right applicant (see nature.org/palmyra). The Hospitality Specialist is responsible for planning and preparing the facilities to receive...Hourly payFull timeSeasonal workRemote workFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to RN Utilization Management Specialist. Be the first to apply!



